Broadening the Focus

The Need to Address the Social Determinants of Health
      Overcoming Obstacles to Health: a Report from the Robert Wood Johnson Foundation to the Commission to Build a Healthier America
      • Braveman P.
      • Egerter S.
      Overcoming obstacles to health: report from the Robert Wood Johnson Foundation to the Commission to Build a Healthier America.
      was issued from the foundation to the commission at the commission's 2008 public launch. The purpose was to present the foundation's rationale for establishing the commission and provide a conceptual framework and scientific guidance for the commission's work, summarizing and translating current knowledge about the social determinants of health for an audience of policymakers and advocates. Adapted from that report, this paper is intended to lay the foundation for this supplement to the American Journal of Preventive Medicine by providing a statement of the problem addressed by the commission and a framework for seeking the solutions that are explored more fully in the articles that follow.
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        • Braveman P.
        • Egerter S.
        Overcoming obstacles to health: report from the Robert Wood Johnson Foundation to the Commission to Build a Healthier America.
        Robert Wood Johnson Foundation, Princeton NJ2008
        • Truffer C.J.
        • Keehan S.
        • Smith S.
        • et al.
        Health spending projections through 2019: the recession's impact continues.
        Health Aff (Millwood). 2010; 29: 522-529
        • Organization for Economic Co-operation and Development, Directorate for Employment, Labour and Social Affairs
        OECD Health Data 2009—Frequently Requested Data.
        • Egerter S.
        • Braveman P.
        • Cubbin C.
        Reaching America's health potential: a state-by-state look at adult health.
        Robert Wood Johnson Foundation Commission to Build a Healthier America, Washington DC2009
        • Egerter S.
        • Braveman P.
        • Pamuk E.
        America's health starts with healthy children: how do states compare?.
        Robert Wood Johnson Foundation Commission to Build a Healthier America, Washington DC2008
        • Ben-Shlomo Y.
        • Kuh D.
        A life course approach to chronic disease epidemiology: conceptual models, empirical challenges and interdisciplinary perspectives.
        Int J Epidemiol. 2002; 31: 285-293
        • Case A.
        • Fertig A.
        • Paxson C.
        The lasting impact of childhood health and circumstance.
        J Health Econ. 2005; 24: 365-389
        • Halfon N.
        • Hochstein M.
        Life course health development: an integrated framework for developing health, policy, and research.
        Milbank Q. 2002; 80 (iii): 433-479
        • Brownson R.C.
        • Boehmer T.K.
        • Luke D.A.
        Declining rates of physical activity in the U.S.: what are the contributors?.
        Annu Rev Public Health. 2005; 26: 421-443
        • De Walque D.
        Education, information, and smoking decisions: evidence from smoking histories, 1940–2000.
        The World Bank 2004, Washington DCJuly 2004 (World Bank Policy Research Working Paper No. 3362.)
        • Kanjilal S.
        • Gregg E.W.
        • Cheng Y.J.
        • et al.
        Socioeconomic status and trends in disparities in 4 major risk factors for cardiovascular disease among U.S. adults, 1971–2002.
        Arch Intern Med. 2006; 166: 2348-2355
        • Pierce J.P.
        • Fiore M.C.
        • Novotny T.E.
        • Hatziandreu E.J.
        • Davis R.M.
        Trends in cigarette smoking in the U.S. Projections to the year 2000.
        JAMA. 1989; 261: 61-65
        • CSDH
        Closing the gap in a generation: health equity through action on the social determinants of health.
        WHO, Geneva, Switzerland2008
        • Datta G.D.
        • Subramanian S.V.
        • Colditz G.A.
        • Kawachi I.
        • Palmer J.R.
        • Rosenberg L.
        Individual, neighborhood, and state-level predictors of smoking among U.S. black women: a multilevel analysis.
        Soc Sci Med. 2006; 63: 1034-1044
        • Lynch J.W.
        • Kaplan G.A.
        • Salonen J.T.
        Why do poor people behave poorly?.
        Soc Sci Med. 1997; 44: 809-819
        • Yen I.H.
        • Syme S.L.
        The social environment and health: a discussion of the epidemiologic literature.
        Annu Rev Public Health. 1999; 20: 287-308
        • Anda R.F.
        • Felitti V.J.
        • Bremner J.D.
        • et al.
        The enduring effects of abuse and related adverse experiences in childhood.
        Eur Arch Psychiatry Clin Neurosci. 2006; 256: 174-186
        • Bauer A.M.
        • Boyce W.T.
        Prophecies of childhood: how children's social environments and biological propensities affect the health of populations.
        Int J Behav Med. 2004; 11: 164-175
        • Davey-Smith G.
        • Hart C.
        • Blane D.
        • Hole D.
        Adverse socioeconomic conditions in childhood and cause-specific adult mortality: prospective observational study.
        BMJ. 1998; 316: 1631-1635
        • Hertzman C.
        The biological embedding of early experience and its effects on health in adulthood.
        Ann N Y Acad Sci. 1999; 896: 85-95
        • Macintyre S.
        The social patterning of exercise behaviours: the role of personal and local resources.
        Br J Sports Med. 2000; 34: 6
        • Marmot M.
        • Friel S.
        • Bell R.
        • Houweling T.A.
        • Taylor S.
        Closing the gap in a generation: health equity through action on the social determinants of health.
        Lancet. 2008; 372: 1661-1669
        • Schroeder S.A.
        Shattuck lecture.
        N Engl J Med. 2007; 357: 1221-1228
        • Frieden T.R.
        A framework for public health action: the health impact pyramid.
        Am J Public Health. 2010; 100: 590-595
        • Braveman P.A.
        • Cubbin C.
        • Egerter S.
        • Williams D.R.
        • Pamuk E.
        Socioeconomic disparities in health in the U.S.: what the patterns tell us.
        Am J Public Health. 2010; 100: S186-S196
        • Mathews T.J.
        • MacDorman M.F.
        Infant mortality statistics from the 2004 period linked birth/infant death data set.
        National Center for Health Statistics, Hyattsville MD2007
        • U.S. Census Bureau
        National Longitudinal Mortality Study (NLMS), 1988–1998.
        • CDC
        National Health Interview Survey (NHIS) 2001–2005.
        • Idler E.L.
        • Benyamini Y.
        Self-rated health and mortality: a review of twenty-seven community studies.
        J Health Soc Behav. 1997; 38: 21-37
        • Idler E.L.
        • Kasl S.V.
        Self-ratings of health: do they also predict change in functional ability?.
        J Gerontol B Psychol Sci Soc Sci. 1995; 50: S344-S353
        • Black D.
        • Morris J.N.
        • Smith C.
        • Townsend P.
        The Black Report.
        in: Townsend P. Davidson N. Whitehead M. Inequalities in health: the Black Report. Penguin, London1980
        • Lantz P.M.
        • House J.S.
        • Lepkowski J.M.
        • Williams D.R.
        • Mero R.P.
        • Chen J.
        Socioeconomic factors, health behaviors, and mortality: results from a nationally representative prospective study of U.S. adults.
        JAMA. 1998; 279: 1703-1708
        • Marmot M.G.
        • Smith G.D.
        • Stansfeld S.
        • et al.
        Health inequalities among British civil servants: the Whitehall II study.
        Lancet. 1991; 337: 1387-1393
        • Pamuk E.
        • Makuc D.
        • Keck K.
        • Reuban C.
        • Lochner K.
        Health, U.S., 1998 with socioeconomic status and health chartbook.
        National Center for Health Statistics, Hyattsville MD1998
        • Deaton A.
        Policy implications of the gradient of health and wealth.
        Health Aff (Millwood). 2002; 21: 13-30
        • Wagstaff A.
        • van Doorslaer E.
        Income inequality and health: what does the literature tell us?.
        Annu Rev Public Health. 2000; 21: 543-567
        • Berkman L.F.
        Social epidemiology: social determinants of health in the U.S.: are we losing ground?.
        Annu Rev Public Health. 2009; 30: 27-41
        • Chandola T.
        • Britton A.
        • Brunner E.
        • et al.
        Work stress and coronary heart disease: what are the mechanisms?.
        Eur Heart J. 2008; 29: 640-648
        • Cubbin C.
        • Winkleby M.A.
        Protective and harmful effects of neighborhood-level deprivation on individual-level health knowledge, behavior changes, and risk of coronary heart disease.
        Am J Epidemiol. 2005; 162: 559-568
        • Kramer M.S.
        • Goulet L.
        • Lydon J.
        • et al.
        Socio-economic disparities in preterm birth: causal pathways and mechanisms.
        Paediatr Perinat Epidemiol. 2001; 15: S104-S123
        • Marmot M.G.
        • Shipley M.J.
        • Hemingway H.
        • Head J.
        • Brunner E.J.
        Biological and behavioural explanations of social inequalities in coronary heart disease: the Whitehall II study.
        Diabetologia. 2008; 51: 1980-1988
        • Krieger N.
        • Chen J.T.
        • Ebel G.
        Can we monitor socioeconomic inequalities in health?.
        Public Health Rep. 1997; 112: 481-491
        • Krieger N.
        • Fee E.
        Measuring social inequalities in health in the U.S.: a historical review, 1900–1950.
        Int J Health Serv. 1996; 26: 391-418
        • Braveman P.A.
        • Cubbin C.
        • Egerter S.
        • et al.
        Socioeconomic status in health research: one size does not fit all.
        JAMA. 2005; 294: 2879-2888
        • Williams D.R.
        • Jackson P.B.
        Social sources of racial disparities in health.
        Health Aff (Millwood). 2005; 24: 325-334
        • U.S. Census Bureau
        The American Community—American Indians and Alaska Natives: 2004.
        • U.S. Census Bureau
        The American Community—Asians: 2004.
        • U.S. Census Bureau
        The American Community—Pacific Islanders: 2004.
        • U.S. Census Bureau
        The American Community—blacks: 2004.
        • U.S. Census Bureau
        The American Community—Hispanics: 2004.
        • Otten Jr., M.W.
        • Teutsch S.M.
        • Williamson D.F.
        • Marks J.S.
        The effect of known risk factors on the excess mortality of black adults in the U.S..
        JAMA. 1990; 2633: 845-850
        • Collins F.S.
        What we do and don't know about ‘race’, ‘ethnicity’, genetics and health at the dawn of the genome era.
        Nat Genet. 2004; 36: S13-S15
        • Braveman P.
        • Egerter S.
        • An J.
        • Williams D.
        Issue brief 5: race and socioeconomic factors.
        Robert Wood Johnson Foundation, Princeton NJ2009
        • Pickett K.E.
        • Pearl M.
        Multilevel analyses of neighbourhood socioeconomic context and health outcomes: a critical review.
        J Epidemiol Community Health. 2001; 55: 111-122
        • Steptoe A.
        • Feldman P.J.
        Neighborhood problems as sources of chronic stress: development of a measure of neighborhood problems, and associations with socioeconomic status and health.
        Ann Behav Med. 2001; 23: 177-185
        • Williams D.R.
        Race, socioeconomic status, and health.
        Ann N Y Acad Sci. 1999; 896: 173-188
        • Charles C.Z.
        The dynamics of racial residential segregation.
        Annual Review of Sociology. 2003; 29: 167-207
        • Squires G.D.
        • Kubrin C.E.
        Privileged places: race, uneven development and the geography of opportunity in urban America.
        Urban Studies. 2005; 42: 47-68
        • Pattillo M.
        Black middle-class neighborhoods.
        Annual Review of Sociology. 2005; 31: 305-329
        • Acevedo-Garcia D.
        • McArdle N
        • Osypuk T.L.
        • Lefkowitz B.
        • Krimgold B.K.
        Children left behind: how metropolitan areas are failing America's children. Harvard School of Public Health, Boston MA2007 (Washington DC: Center for the Advancement of Health)
        • Brown P.
        Race, class, and environmental health: a review and systematization of the literature.
        Environ Res. 1995; 69: 15-30
        • Williams D.R.
        • Collins C.
        Racial residential segregation: a fundamental cause of racial disparities in health.
        Public Health Rep. 2001; 116: 404-416
        • Gold D.R.
        Environmental tobacco smoke, indoor allergens, and childhood asthma.
        Environ Health Perspect. 2000; 108: S643-S651
        • IOM, Committee on the Assessment of Asthma and Indoor Air, Division of Health Promotion and Disease Prevention
        Clearing the air: asthma and indoor air exposures.
        National Academies Press, Washington DC2000
        • Murray C.J.L.
        • Michaud C.M.
        • McKenna M.
        • Marks J.U.S.
        county patterns of mortality by county and race: 1965–1994.
        Harvard Center for Population and Development Studies, Cambridge MA1998
        • U.S. Census Bureau. Housing and Household Economic Statistics Division
        Current Population Survey, 2005 to 2007 Annual social and economic supplements.
        • National Center for Health Statistics
        Health, U.S., 2007 with chartbook on trends in the health of Americans.
        CDC, Hyattsville MD2007
        • Mobilizing Action Toward Community Health (MATCH)
        County health rankings.
        • Marmot M.G.
        • Bosma H.
        • Hemingway H.
        • Brunner E.
        • Stansfeld S.
        Contribution of job control and other risk factors to social variations in coronary heart disease incidence.
        Lancet. 1997; 350: 235-239
        • Winkleby M.A.
        • Jatulis D.E.
        • Frank E.
        • Fortmann S.P.
        Socioeconomic status and health: how education, income, and occupation contribute to risk factors for cardiovascular disease.
        Am J Public Health. 1992; 82: 816-820
        • Agency for Healthcare Research and Quality
        National healthcare disparities report, 2006.
        USDHHS, Rockville MD2006
        • IOM, Committee on Understanding and Eliminating Racial and Ethnic Disparities in Health Care
        Unequal Treatment: Confronting racial and ethnic disparities in health care.
        National Academies Press, Washington DC2003
        • Danaei G.
        • Ding E.L.
        • Mozaffarian D.
        • et al.
        The preventable causes of death in the U.S.: comparative risk assessment of dietary, lifestyle, and metabolic risk factors.
        PLoS Med. 2009; 6: e1000058
        • McGinnis J.M.
        • Foege W.H.
        Actual causes of death in the U.S.
        JAMA. 1993; 270: 2207-2212
        • USDHHS
        Healthy People 2010 Midcourse Review.
        U.S. Government Printing Office, Washington DC2006
        • Woolf S.H.
        • Dekker M.M.
        • Byrne F.R.
        • Miller W.D.
        Citizen-centered health promotion: building collaborations to facilitate healthy living.
        Am J Prev Med. 2011; 40: S38-S47
        • CDC
        Cigarette smoking among adults—U.S., 2002.
        MMWR Morb Mortal Wkly Rep. 2004; 53: 427-431
        • Glouberman S.
        Towards a new perspective on health policy.
        Canadian Policy Research Networks Inc, Ottawa ON2001 (Report No.: CPRN Study No. H-03)
        • Mechanic D.
        Disadvantage, inequality, and social policy.
        Health Aff (Millwood). 2002; 21: 48-59
        • IOM, Committee on Capitalizing on Social Science and Behavioral Research to Improve the Public's Health, Division of Health Promotion and Disease Prevention
        Promoting health: intervention strategies from social and behavioral research.
        National Academies Press, Washington DC2000
        • Leventhal T.
        • Brooks-Gunn J.
        The neighborhoods they live in: the effects of neighborhood residence on child and adolescent outcomes.
        Psychol Bull. 2000; 126: 309-337
        • McNeill L.H.
        • Kreuter M.W.
        • Subramanian S.V.
        Social environment and physical activity: a review of concepts and evidence.
        Soc Sci Med. 2006; 63: 1011-1022
        • Villard L.C.
        • Ryden L.
        • Stahle A.
        Predictors of healthy behaviours in Swedish school children.
        Eur J Cardiovasc Prev Rehabil. 2007; 14: 366-372
        • Chuang Y.C.
        • Cubbin C.
        • Ahn D.
        • Winkleby M.A.
        Effects of neighbourhood socioeconomic status and convenience store concentration on individual level smoking.
        J Epidemiol Community Health. 2005; 59: 568-573
        • Diez-Roux A.V.
        • Nieto F.J.
        • Caulfield L.
        • Tyroler H.A.
        • Watson R.L.
        • Szklo M.
        Neighbourhood differences in diet: the Atherosclerosis Risk in Communities (ARIC) Study.
        J Epidemiol Community Health. 1999; 53: 55-63
        • Lee R.E.
        • Cubbin C.
        Neighborhood context and youth cardiovascular health behaviors.
        Am J Public Health. 2002; 92: 428-436
        • Averett S.L.
        • Rees D.I.
        • Argys L.M.
        The impact of government policies and neighborhood characteristics on teenage sexual activity and contraceptive use.
        Am J Public Health. 2002; 92: 1773-1778
        • Hertzman C.
        • Power C.
        Health and human development: understandings from life-course research.
        Dev Neuropsychol. 2003; 24: 719-744
        • McEwen B.S.
        Stress, adaptation, and disease.
        Ann N Y Acad Sci. 1998; 840: 33-44
        • Steptoe A.
        • Marmot M.
        The role of psychobiological pathways in socio-economic inequalities in cardiovascular disease risk.
        Eur Heart J. 2002; 23: 13-25
        • Taylor S.E.
        • Repetti R.L.
        • Seeman T.
        Health psychology: what is an unhealthy environment and how does it get under the skin?.
        Annu Rev Psychol. 1997; 48: 411-447
        • Cohen S.
        • Evans G.W.
        • Stokols D.
        • Krantz D.S.
        Behavior, health and environmental stress.
        Plenum Press, New York NY1986
        • Sapolsky R.M.
        The influence of social hierarchy on primate health.
        Science. 2005; 308: 648-652
        • Braveman P.
        • Marchi K.
        • Egerter S.
        • et al.
        Poverty, near-poverty, and hardship around the time of pregnancy.
        Matern Child Health J. 2010 Jan; 14: 20-35
        • Evans G.W.
        • Kim P.
        Childhood poverty and health: cumulative risk exposure and stress dysregulation.
        Psychol Sci. 2007; 18: 953-957
        • Williams D.R.
        • Mohammed S.A.
        Discrimination and racial disparities in health: evidence and needed research.
        J Behav Med. 2009; 32: 20-47
        • McEwen B.S.
        The neurobiology of stress: from serendipity to clinical relevance.
        Brain Res. 2000; 886: 172-189
        • McEwen B.S.
        Protective and damaging effects of stress mediators: central role of the brain.
        Dialogues Clin Neurosci. 2006; 8: 367-381
        • Seeman T.E.
        • McEwen B.S.
        • Rowe J.W.
        • Singer B.H.
        Allostatic load as a marker of cumulative biological risk: MacArthur studies of successful aging.
        Proc Natl Acad Sci USA. 2001; 98: 4770-4775
        • Seeman T.E.
        • Singer B.H.
        • Rowe J.W.
        • Horwitz R.I.
        • McEwen B.S.
        Price of adaptation—allostatic load and its health consequences.
        Arch Intern Med. 1997; 157: 2259-2268
        • Bhattacharya J.
        • Currie J.
        • Haider S.
        Poverty, food insecurity, and nutritional outcomes in children and adults.
        J Health Econ. 2004; 23: 839-862
        • Bradley R.H.
        • Corwyn R.F.
        Socioeconomic status and child development.
        Annu Rev Psychol. 2002; 53: 371-399
        • Variyam J.N.
        • Blaylock J.
        • Lin B.H.
        • Ralston K.
        • Smallwood D.
        Mother's nutrition knowledge and children's dietary intakes.
        Am J Agric Econ. 1999; 81: 373-384
        • Joint WHO/FAO Expert Consultation
        Diet, nutrition, and the prevention of chronic diseases.
        WHO, Geneva, Switzerland2003
        • Lynch J.
        • Davey Smith G.
        A life course approach to chronic disease epidemiology.
        Annu Rev Public Health. 2005; 26: 1-35
        • Wadsworth M.E.
        Health inequalities in the life course perspective.
        Soc Sci Med. 1997; 44: 859-869
        • CDC
        Update: blood lead levels—U.S., 1991–1994.
        MMWR Morb Mortal Wkly Rep. 1997; 46: 141-146
        • Evans G.W.
        The environment of childhood poverty.
        Am Psychol. 2004; 59: 77-92
        • Guo G.
        • Harris K.M.
        The mechanisms mediating the effects of poverty on children's intellectual development.
        Demography. 2000; 37: 431-447
        • Votruba-Drzal E.
        Income changes and cognitive stimulation in young children's home learning environments.
        Journal of Marriage and Family. 2003; 65: 341-355
        • Yeung W.J.
        • Linver M.R.
        • Brooks-Gunn J.
        How money matters for young children's development: parental investment and family processes.
        Child Dev. 2002; 73: 1861-1879
        • IOM, Committee on Integrating the Science of Early Childhood Development, Board on Children, Youth, and Families
        From neurons to neighborhoods: the science of early childhood development.
        National Academies Press, Washington DC2000
        • Currie J.
        Early childhood intervention programs: what do we know?.
        UCLA, NBER, Los Angeles CA2000
        • Fergus S.
        • Zimmerman M.A.
        Adolescent resilience: a framework for understanding healthy development in the face of risk.
        Annu Rev Public Health. 2005; 26: 399-419
        • Barker D.J.
        The developmental origins of adult disease.
        J Am Coll Nutr. 2004; 23: S588-S595
        • IOM, Committee on Understanding Premature Birth and Assuring Healthy Outcomes, Board on Health Sciences Policy
        Preterm birth: causes, consequences, and prevention.
        National Academies Press, Washington DC2007
        • Power C.
        • Lake J.K.
        • Cole T.J.
        Measurement and long-term health risks of child and adolescent fatness.
        Int J Obes Relat Metab Disord. 1997; 21: 507-526
        • Thomson W.M.
        • Poulton R.
        • Milne B.J.
        • Caspi A.
        • Broughton J.R.
        • Ayers K.M.
        Socioeconomic inequalities in oral health in childhood and adulthood in a birth cohort.
        Community Dent Oral Epidemiol. 2004; 32: 345-353
        • USDHHS
        Oral health in America: a report of the Surgeon General.
        USDHHS, National Institute of Dental and Craniofacial Research, NIH, Rockville MD2000
        • Liu H.
        • Hummer R.A.
        Are educational differences in U.S. self-rated health increasing?.
        Soc Sci Med. 2008; 67: 1898-1906
        • Mirowsky J.
        • Ross C.E.
        Education, social status, and health.
        Aldine de Gruyter, Hawthorne NY2003
        • Palloni A.
        Reproducing inequalities: luck, wallets, and the enduring effects of childhood health.
        Demography. 2006; 43: 587-615
        • van de Mheen H.
        • Stronks K.
        • Looman C.W.
        • Mackenbach J.P.
        Role of childhood health in the explanation of socioeconomic inequalities in early adult health.
        J Epidemiol Community Health. 1998; 52: 15-19
        • Gluckman P.D.
        • Hanson M.A.
        • Beedle A.S.
        Non-genomic transgenerational inheritance of disease risk.
        Bioessays. 2007; 29: 145-154
        • Solon G.
        Intergenerational income mobility in the U.S..
        Am Econ Rev. 1992; 82: 393-408
        • Zimmerman D.J.
        Regression toward mediocrity in economic stature.
        Am Econ Rev. 1992; 82: 409-429
        • Arnold D.H.
        • Doctoroff G.L.
        The early education of socioeconomically disadvantaged children.
        Annu Rev Psychol. 2003; 54: 517-545
        • Duncan G.J.
        • Yeung W.J.
        • Brooks-Gunn J.
        • Smith J.R.
        How much does childhood poverty affect the life chances of children?.
        Am Sociol Rev. 1998; 63: 406-423
        • Haveman R.
        • Smeeding T.
        The role of higher education in social mobility.
        Future Child. 2006; 16: 125-150
        • Haveman R.
        • Wolfe B.
        The determinants of children's attainments: a review of methods and findings.
        J Econ Lit. 1995; 33: 1829-1878
        • Rouse C.E.
        • Barrow L.U.S.
        elementary and secondary schools: equalizing opportunity or replicating the status quo?.
        Future Child. 2006; 16: 99-123
        • Currie J.
        • Lin W.
        Chipping away at health: more on the relationship between income and child health.
        Health Aff (Millwood). 2007; 26: 331-344
        • Johnson R.C.
        • Schoeni R.F.
        The influence of early-life events on human capital, health status, and labor market outcomes over the life course.
        Institute for Research on Labor and Employment, Berkeley CAJanuary 2007 (Report No.: PSC Research Report No. 07-616)
        • USDHHS
        Summary of the Prevention and Wellness Initiative.
        • CDC
        The American Recovery and Reinvestment Act: Communities Putting Prevention to Work (CPPW).
        • Democratic Policy Committee
        The Patient Protection and Affordable Care Act: Promoting Prevention and Improving Public Health.
        • Braveman P.
        • Egerter S.
        Overcoming obstacles to health: report from the Robert Wood Johnson Foundation to the Commission to Build a Healthier America.
        Robert Wood Johnson Foundation, Princeton NJ2008
        • Schoeni R.F.
        • Dow W.H.
        • Miller W.D.
        • Pamuk E.R.
        The economic value of improving the health of disadvantaged Americans.
        Am J Prev Med. 2011; 40: S67-S72
        • Goodman P.S.
        The new poor: despite signs of recovery, chronic joblessness rises.
        • Berube A.
        • Kneebone E.
        Two steps back: city and suburban poverty trends.
        The Brookings Institution, Washington DC2006
        • Weller C.E.
        Middle-class progress?.
        Center for American Progress, Washington DC2005
        • DeNavas-Walt C.
        • Proctor B.D.
        • Smith J.
        Income, poverty, and health insurance coverage in the U.S.: 2006.
        U.S. Census Bureau, Washington DC2007
        • Booza J.C.
        • Cutsinger J.
        • Galster G.
        Where did they go?.
        The Brookings Institution, Washington DC2006
        • Aron-Dine A.
        New data show income concentration jumped again in 2005: income share of top 1% returned to its 2000 level, the highest since 1929.
        Center on Budget and Policy Priorities, Washington DC2007
      1. Almond DV Jr, Chay KY, Greenstone M. Civil rights, the war on poverty, and black-white convergence in infant mortality in the rural South and Mississippi. MIT Department of Economics Working Papers, No. 07-04, 2006.

        • National Association of City and County Health Officials
        Health Equity and Social Justice.
        • Benzeval M.
        • Judge K.
        • Whitehead M.
        Tackling inequalities in health: an agenda for action.
        King's Fund, London1995
        • Irwin A.
        • Scali E.
        Action on the social determinants of health: learning from previous experiences.
        WHO, Secretariat of the Commission on Social Determinants of Health, Geneva, Switzerland2005
        • Mackenbach J.P.
        • Bakker M.
        Reducing inequalities in health: a European perspective.
        Routledge, New York2002
        • Miller W.
        • Simon P.
        • Maleque S.
        Beyond health care: new directions to a healthier America.
        Robert Wood Johnson Foundation Commission to Build a Healthier America, Washington DC2009
        • Miller W.D.
        • Pollack C.E.
        • Williams D.R.
        Healthy homes and communities: putting the pieces together.
        Am J Prev Med. 2011; 40: S48-S57
        • Miller W.D.
        • Sadegh-Nobari T.
        • Lillie-Blanton M.
        Healthy starts for all: policy prescriptions.
        Am J Prev Med. 2011; 40: S19-S37
        • Corporation for National and Community Service
        Social Innovation Fund.
      2. Wilkinson R. Marmot M. Social determinants of health: the solid facts. WHO, Regional Office for Europe, Copenhagen1998
        • National Research Council and Institute of Medicine
        Preventing mental, emotional, and behavioral disorders among young people: progress and possibilities.
        in: O'Connell M.E. Boat T. Warner K.E. Board on Children, Youth, and Families, Division of Behavioral and Social Sciences and Education. The National Academies Press, Washington DC2009
        • Hertzman C.
        • Wiens M.
        Child development and long-term outcomes: a population health perspective and summary of successful interventions.
        Soc Sci Med. 1996; 43: 1083-1095
        • Karoly L.A.
        • Kilburn M.R.
        • Cannon J.S.
        Early childhood interventions: proven results, future promise.
        The RAND Corporation, Santa Monica CA2005 (Report No.: MG-341)
        • Levin H.
        • Belfield C.
        • Muennig P.
        • Rouse C.
        The costs and benefits of an excellent education for all America's children.
        Teachers College, Columbia University, New York2007
        • PNC Financial Services Group
        About PNC Grow Up Great.
        • Committee for Economic Development
        Early Education Working Papers.
        • The Business Roundtable and Corporate Voices for Working Families
        Early Childhood Education: a Call to Action from the Business Community.
      3. Rolnick R, Grunewald R. Technical report: early childhood development: economic development with a high public return. Minneapolis MN: Federal Reserve Bank of Minneapolis, 2003.

        • McGinnis J.M.
        • Williams-Russo P.
        • Knickman J.R.
        The case for more active policy attention to health promotion.
        Health Aff (Millwood). 2002; 21: 78-93
        • Ross C.E.
        • Mirowsky J.
        Does medical insurance contribute to socioeconomic differentials in health?.
        Milbank Q. 2000; 78 (151–2): 291-321
        • Chan M.
        Return to Alma-Ata.
        Lancet. 2008; 372: 865-866